Case Report: „TST“ Method (Three Step Technique) for Reconstruction of a Papilla

Surgeon: Florian Göttfert DDS, Nürnberg, Germany

Situation: Papillae deficiency, Periodontal dissease, Bacterial infection Aa (aggregatibacteractinomycetemcomitans very high)Upper jaw

Material: Flex Barrier (crosslinked Hyaluronic acid)Injection and application

Summary:

To prevent the natural esthetic look of the mucosa, the soft tissuearound the teeth especially the papilla has to be shaped as good as in the natural way. The critical forecast of the surgical success in thepast meant that those cases usually were not detachable in a surgicalway. Now these cases could be solved. Following the Three-Step-Technique and by injection of Flex Barrierthe problem of papilla deficiency is solvable.

Chirurg/Surgeon: Dr. Florian Göttfert/Nürnberg/Germany

Ausgangssituation: Defizitäre Papillen infolge nekrotisierten Weichgewebes aufgrund einer sehr hohen aggressiven Parodontitis mit Keimkonstellation Typ: Aa

Initial situation: papilla deficiency with necrotic soft tissue due to a highlyaggressive periodontitis with germs Type: Aa

Chirurg/Surgeon: Dr. Florian Göttfert/Nürnberg/Germany

Flex Barrier Injektion in die unbefestigte Gingiva nach der TST-Methode(1. Schritt)

Flex Barrier injection into the Non-Attached-Gingiva after TST method(1. step)

Chirurg/Surgeon: Dr. Florian Göttfert/Nürnberg/Germany

Situation nach 2. und 3. Schritt der TST-Methode mit Flex Barrier

Situation after 2nd and 3th step of the TST-Method with Flex Barrier

Chirurg/Surgeon: Dr. Florian Göttfert/Nürnberg/Germany

Regenerierte Papille nach 6 WochenAufgrund der Keimkonstellation adjuvante Therapie mit einem Diodenlaser und Applikation von Tissue Support

Regeneration of the papilla after 6 weeksBecause of the germ infection attendant therapy with a diode laser and application ofTissue Support

Chirurg/Surgeon: Dr. Florian Göttfert/Nürnberg/Germany

Regenerierte Papille nach 6 Wochen

Regeneration of the papilla after 6 weeks

Nekrotische Papille vor der Behandlung

Necrotic papilla before treatment